摘要
目的:了解全子宫切除术后远期女性性生活现状。方法:对因妇科良性疾病行全子宫切除术具有完整随访资料的68例患者进行随访调查,随访内容:妇科检查、性生活质量问卷调查,包括中国女性性生活质量问卷和女性性功能指数(FSFI)问卷。结果:全子宫切除术后7年,48例(70.6%)对目前性生活满意;36例(52.9%)能够与伴侣在性问题上进行有效的沟通交流;41例(60.3%)存在不同程度的性交痛及对性生活厌恶、焦虑、恐惧、担忧等负性情绪;45例(66.2%)性唤起满意,能够经常体验到性高潮;42例(61.8%)对自慰有正确的认识;38例(55.9%)对自己的形象满意。68例患者中国女性性生活质量问卷总分平均127.45±20.20分,FSFI问卷总分平均60.71±11.33分。中国女性性生活质量问卷总分、标准分总分、性满意度、性交流与调适、性反应以及性体像与患者收入呈正相关(r=0.432,P=0.007;r=0.338,P=0.038;r=0.356,P=0.028;r=0.475,P=0.003;r=0.421,P=0.009;r=0.324,P=0.047)。FSFI问卷总分、性欲、性唤起与患者年龄呈中度负相关(r=-0.419,P=0.042;r=-0.433,P=0.034;r=-0.429,P=0.037);FSFI问卷总分与婚龄呈中度负相关(r=-0.416,P=0.048)。结论:全子宫切除术可能对患者远期性生活存在影响,患者性生活质量与年龄呈负相关,与收入呈正相关。
Objective:To explore the long-term status of female sexual life after total hysterectomy.Methods:68 patients with benign gynecological diseases underwent total hysterectomy were followed up. The contents included pelvic examination,quality of sexual life questionnaire(female sexual quality questionnaire and female sexual function index,FSFI) .Results:7 years after total hysterectomy,48 patients(70.6%) were satisfied with the current sex life;36 patients(52.9%) could effectively communicate with partners on sexual issues;41 patients(60.3%) were with different degrees of intercourse pain and disgust,anxiety,fear,worry and other negative emotions;45 patients(66.2%) were satisfied with sexual arousal,and could often experience orgasm;42 patients(61.8%) had a correct understanding of masturbation;38(55.9%) patients were satisfied with their image. The average score of female sexual quality questionnaire in 68 cases were 127.45±20.20,and the average score of FSFI were 60.71±11.33. Female sexual quality questionnaire score,standard score,sexual satisfaction degree,sexual communication and adjustment,sexual response and sexual body image were positively correlated with the patients income(r=0.432,P=0.007;r=0.338,P=0.038;r=0.356,P=0.028;r=0.475,P=0.003;r=0.421,P=0.009;r=0.324,P=0.047) . FSFI scores,sexual desire and arousal were moderately negatively correlated with patient age(r=-0.419,P=0.042;r=-0.433,P=0.034;r=-0.429,P=0.037) . FSFI total score was moderately negatively correlated with the age of marriage(r=-0.416,P=0.048) .Conclusions:Hysterectomy may have long-term effect on female sexual function of patients. Quality of sexual life is negatively correlated with age and positively correlated with income.
出处
《实用妇产科杂志》
CAS
CSCD
北大核心
2011年第10期741-744,共4页
Journal of Practical Obstetrics and Gynecology
关键词
全子宫切除术
女性性生活
相关因素
Total hysterectomy
Female sexual life
Correlation factor